Title: Complex Claims Consultant- EPL, Private D&O, Fiduciary Job Responsibilities: The Complex Claims Consultant is responsible for managing a portfolio of highly complex Financial Lines claims, which involve large exposures and require specialized technical expertise and coordination. Key responsibilities include: - Verifying policy...
Title: AVP-Assistant General Counsel-Head of Global Pharmaceutical Capabilities Legal Job Responsibilities: As the AVP-Assistant General Counsel – Head of Global Pharmaceutical Capabilities, the role involves leading the legal team responsible for strategic counseling and legal support for cross-brand commercialization initiatives both in...
and reporting, data analysis, and assisting leadership with overall strategy. Focus on recording and analysing financial transactions, paying and receiving invoices, maintaining financial statement ledger accounts, and preparing analysis and reconciliations of bills to detect fraud. Help the team provi......
Title: Assistant Legal Counsel, Flex Financial Job Responsibilities: As an Assistant Legal Counsel for the Flex Financial division, the primary responsibility is to act as a legal partner, providing strategic, business-focused legal guidance while building trusted relationships within the organization. Key responsibilities...
The following jobs are no longer active but were real openings previously posted by employers. These listings provide valuable insight into employer hiring trends and frequently lead to job offers. In many cases, employers are still hiring or open to strong candidates even if no new job is posted. Applying to these listings often makes you the only applicant, increasing your chances of being hired.
I or II Duties: The candidate will investigate, collect, research and analyze billing data in order to detect fraudulent, abusive or wasteful use appropriate system tools, analyze data to detect fraudulent, abusive or wasteful payments to providers and subscribers. Prepare statistical/financial analyses and reports to document findings and maintain up-to-date case files for management review. Prepare final report and notification of fin... read more
Note: This job is no longer active. It was originally posted on [Date] and is part of LawCrossing’s historical archive of legal jobs. While the position may have been filled, employers often remain open to exceptional candidates for similar roles. LawCrossing has tracked this employer's hiring activity for over 25 years. This listing is provided for informational and outreach purposes and may still lead to employment. Learn more about archive jobs and how powerful they are for your search, click here
I or II Duties: The candidate will investigate, collect, research and analyze billing data in order to detect fraudulent, abusive or wasteful use appropriate system tools, analyze data to detect fraudulent, abusive or wasteful payments to providers and subscribers. Prepare statistical/financial analyses and reports to document findings and maintain up-to-date case files for management review. Prepare final report and notification of fin... read more
Note: This job is no longer active. It was originally posted on [Date] and is part of LawCrossing’s historical archive of legal jobs. While the position may have been filled, employers often remain open to exceptional candidates for similar roles. LawCrossing has tracked this employer's hiring activity for over 25 years. This listing is provided for informational and outreach purposes and may still lead to employment. Learn more about archive jobs and how powerful they are for your search, click here
Your Customer / Onboarding Officer II The candidate will coordinate and conduct KYC due diligence reviews on prospects and clients throughout the lifecycle of the relationship and determining if the Prospect/Client is within the Bank's risk appetite. Will be responsible for client onboarding, including requesting, collecting, reviewing and processing the required client level documentation. Responsible and accountable for risk by openly exchanging ideas and opinions, el... read more
Note: This job is no longer active. It was originally posted on [Date] and is part of LawCrossing’s historical archive of legal jobs. While the position may have been filled, employers often remain open to exceptional candidates for similar roles. LawCrossing has tracked this employer's hiring activity for over 25 years. This listing is provided for informational and outreach purposes and may still lead to employment. Learn more about archive jobs and how powerful they are for your search, click here
II - Telecommute The candidate will investigate, collect, research and analyze billing data in order to detect fraudulent, abusive or wasteful activities/practices. Will use appropriate system tools, analyzes data to detect fraudulent, abusive or wasteful payments to providers and subscribers. Prepare statistical/financial analyses and reports to document findings and maintain up-to-date case files for management review. Prepare final report and notification of... read more
Note: This job is no longer active. It was originally posted on [Date] and is part of LawCrossing’s historical archive of legal jobs. While the position may have been filled, employers often remain open to exceptional candidates for similar roles. LawCrossing has tracked this employer's hiring activity for over 25 years. This listing is provided for informational and outreach purposes and may still lead to employment. Learn more about archive jobs and how powerful they are for your search, click here
Investigator The candidate will be responsible for investigating, collecting, researching and analyzing billing data in order to detect fraudulent, abusive or wasteful activities/practices. Primary duties may include: Using appropriate system tools, analyzes data to detect fraudulent, abusive or wasteful payments to providers and subscribers. Ensures investigations are managed and documented in an audit ready and compliant manner. Prepares statistical/financial analys... read more
Note: This job is no longer active. It was originally posted on [Date] and is part of LawCrossing’s historical archive of legal jobs. While the position may have been filled, employers often remain open to exceptional candidates for similar roles. LawCrossing has tracked this employer's hiring activity for over 25 years. This listing is provided for informational and outreach purposes and may still lead to employment. Learn more about archive jobs and how powerful they are for your search, click here
Investigator III The candidate will be responsible for the identification, investigation and development of complex cases against perpetrators of fraud in order to recover... corporate and client funds paid on fraudulent claims, utilizing FBI and other law enforcement resources, and state of the art investigation techniques. Primary duties may include: Responsible for enterprise-wide specific investigations that may impact more than one company health plan. Should have BA/BS de... read more
Note: This job is no longer active. It was originally posted on [Date] and is part of LawCrossing’s historical archive of legal jobs. While the position may have been filled, employers often remain open to exceptional candidates for similar roles. LawCrossing has tracked this employer's hiring activity for over 25 years. This listing is provided for informational and outreach purposes and may still lead to employment. Learn more about archive jobs and how powerful they are for your search, click here
Investigator III The candidate will be responsible for the identification, investigation and development of complex cases against perpetrators of fraud in order to recover... corporate and client funds paid on fraudulent claims, utilizing FBI and other law enforcement resources, and state of the art investigation techniques. Primary duties may include: Responsible for enterprise-wide specific investigations that may impact more than one company health plan. Should have BA/BS de... read more
Note: This job is no longer active. It was originally posted on [Date] and is part of LawCrossing’s historical archive of legal jobs. While the position may have been filled, employers often remain open to exceptional candidates for similar roles. LawCrossing has tracked this employer's hiring activity for over 25 years. This listing is provided for informational and outreach purposes and may still lead to employment. Learn more about archive jobs and how powerful they are for your search, click here
Assurance Services Manager - Fraud Investigation and Dispute Services... The candidate will manage the key components of a portfolio of Forensic Technology and Discovery Services projects, including strategy, planning and execution. Will develop long-term relationships across a network of existing and potential clients, understanding their businesses to provide tailored insights. Constantly develop understanding of clients' industries, identifying trends, risks and opportunitie... read more
Note: This job is no longer active. It was originally posted on [Date] and is part of LawCrossing’s historical archive of legal jobs. While the position may have been filled, employers often remain open to exceptional candidates for similar roles. LawCrossing has tracked this employer's hiring activity for over 25 years. This listing is provided for informational and outreach purposes and may still lead to employment. Learn more about archive jobs and how powerful they are for your search, click here
SIU Pharmacy Investigator The candidate will manage a load of cases and provide expertise as it relates to pharmacy fraud, waste and abuse. Will... manage a caseload of pharmacy fraud investigations. Identify fraud schemes... and trends within the Pharmacy line of business, geographic region, or across specialties. Develop and maintain strong working relationships with the business and market offices in their assigned regions. Collaborate with investigative researchers and other i... read more
Note: This job is no longer active. It was originally posted on [Date] and is part of LawCrossing’s historical archive of legal jobs. While the position may have been filled, employers often remain open to exceptional candidates for similar roles. LawCrossing has tracked this employer's hiring activity for over 25 years. This listing is provided for informational and outreach purposes and may still lead to employment. Learn more about archive jobs and how powerful they are for your search, click here
Fraud and Waste Investigator, Special... Investigations Unit The candidate coordinates investigation with law enforcement authorities. Assembles evidence and documentation to support successful adjudication, where appropriate. May conduct on-site audits of provider records ensuring appropriateness of billing practices. Prepares complex investigative and audit reports. Understands department, segment, and organizational strategy and operating objectives, including their linkages... read more
Note: This job is no longer active. It was originally posted on [Date] and is part of LawCrossing’s historical archive of legal jobs. While the position may have been filled, employers often remain open to exceptional candidates for similar roles. LawCrossing has tracked this employer's hiring activity for over 25 years. This listing is provided for informational and outreach purposes and may still lead to employment. Learn more about archive jobs and how powerful they are for your search, click here